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The Benefit Company, Inc. / Benefitfirst

Full company profile

uuid000b776

Namestring
The Benefit Company, Inc. / Benefitfirst
Legal namestring
Benefitfirst
Company typeenum
Private
Founded yearint
1991
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
101–250
akta.pro rankint
HeadquartersColumbia, United States
HQ citystring
Columbia
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices2 records

Each record includes

City, Country, Type, Description, Source

Keyword5 values
benefits administration, eligibility management, employee enrollment, ACA compliance, carrier integration
Industry4 codes
1Eligibility, Enrollment & Benefits Administration
CodeHLAEALAHPrimaryYes
2Benefits Administration & Total Rewards Outsourcing
CodeBPACAKAEPrimaryNo
3Benefits Administration
CodeBPACAPACPrimaryNo
4Flexible Benefits Administration (FSA/HSA/HRA)
CodeHLAEALAKPrimaryNo
NAICS code1 code
  • Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds524292
SIC code3 codes
  • Services-Prepackaged Software7372
  • Hospital & Medical Service Plans6324
  • Insurance Agents, Brokers & Service6411
Product category
Benefits Administration Software
Social media profiles1 record
GTM motion2 records

Each record includes

Type, Description, Source

Revenue model2 records
1Subscription-based SaaS (Tiered Plans)
TypeSubscription Recurring
Description

Benefitfirst offers three subscription tiers (Core, Plus, Premium) that provide access to their benefits eligibility management platform. Each tier includes progressively more features and services.

benefitfirst.com
2Professional Services
TypeProfessional Services
Description

Additional services including Benefits Communication materials, Employee Enrollment Call Center support, Custom Benefits Video production, and implementation/consulting services bundled in Premium tier.

benefitfirst.com
Marketing channels5 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels4 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Pricing details3 tiers
1Core tier includes employee self-service portal, administrator portal, reporting module, carrier EDI/API integration, and AI eligibility audits.
ModelSubscriptionBilling cadenceAnnual
Notes

No specific pricing disclosed; quote-based

benefitfirst.com
2Plus tier includes all Core features plus payroll/HRIS integration, COBRA administration, and ACA compliance.
ModelSubscriptionBilling cadenceAnnual
Notes

No specific pricing disclosed; quote-based

benefitfirst.com
3Premium tier includes all Plus features plus benefits communication materials, employee enrollment call center, and custom benefits video.
ModelSubscriptionBilling cadenceAnnual
Notes

No specific pricing disclosed; quote-based

benefitfirst.com
GTM typeB2B
B2B
Offering typeSoftware
Software
Core offering1 text field

Benefitfirst is a private cloud-based benefits eligibility management platform that automates an employer's complete benefits cycle, including enrollment, eligibility auditing, billing, carrier data exchange, and compliance reporting. The platform uses AI to run weekly payroll and eligibility audits and supports electronic file feeds (proprietary formats, HIPAA 834, and APIs) to hundreds of carriers and third-party administrators. It is sold as tiered subscriptions (Core, Plus, Premium) to large group employers and through benefits brokers and consultants.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 6 values shown
  • Reduces administration time by up to 80%
+5 more records
Product overview1 text field

Benefitfirst is a private, cloud-based benefits eligibility management platform that automates and supports an employer's complete benefits cycle with a focus on accuracy. The company offers a tiered product architecture: Core (entry level with self-service portals, reporting, and carrier EDI/API integration), Plus (adds payroll/HRIS integration, COBRA administration, and ACA compliance), and Premium (adds benefits communication materials, enrollment call center, and custom video). Additional add-on modules include Enrollment Wizard, Payroll Connection, ACA Data Center, Variable-Hour Tracking, COBRA/HIPAA Compliance, Dependent Eligibility Audits, Health Risk Assessment, Wellness Incentive Management, Customer Care Center, and Annual Benefits Statements.

Product and service2 records
1Benefitfirst Platform (Core/Plus/Premium subscriptions)
CategoryBenefits Administration Platform
Description

Tiered cloud-based SaaS platform providing employee self-service portal, administrator portal, reporting module, carrier EDI/API integration, AI-powered eligibility audits, payroll/HRIS integration, COBRA administration, ACA compliance, benefits communication materials, enrollment call center, and custom benefits video for large group employers.

2Enrollment Wizard
Scale indicator7 records

Each record includes

Type, Value, Description, Source

Partnership14 partners
Strategic tierCoreTypeTechnology or Integration
Description

AflaC is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Ameritas is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

BlueCross BlueShield of South Carolina is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Delta Dental is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for dental benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Hartford is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

MetLife is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Mutual of Omaha is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Principal Financial Group is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Guardian Life is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Standard Insurance Company is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

TransAmerica is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

Unum is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

WellFleet is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Strategic tierCoreTypeTechnology or Integration
Description

SunLife Financial is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Recent move1 record

Each record includes

Date, Type, Title, Description, Source

Expansion highlight6 records

Each record includes

Type, Description

Peers10 records
TypeBroad incumbent
Description

ADP Workforce Now is a broad HCM and benefits administration suite used by mid-market and large employers. It competes with Benefitfirst at the high end on integrated payroll + benefits, but is a much larger incumbent with broader scope.

TypeBroad incumbent
Description

Workday provides benefits administration as part of its broader HCM and Workday Student suite for enterprise customers. It is a broad incumbent competing for very large employers with deeper HRIS integration.

TypeDirect peer
Description

Employee Navigator is a benefits administration platform for brokers and employers featuring enrollment, HR, and carrier integrations. It is a direct competitor in the broker-driven benefits administration market segment.

TypeDirect peer
Description

bswift (now part of CVS Health/Aetna) is a benefits administration platform with enrollment, eligibility management, and carrier integration capabilities. It is a direct competitor in employer benefits technology and competes for similar large-group employer clients.

TypeDirect peer
Description

WEX Health provides benefits administration technology including COBRA, FSA/HSA, and consumer-driven healthcare account platforms. It competes with Benefitfirst in COBRA administration and benefits account management.

TypeDirect peer
Description

Benefitfocus is a direct competitor offering a benefits administration and engagement platform serving employers and carriers. Both companies sell enrollment, eligibility, and benefits management software to large-group employers via broker channels with carrier EDI integrations.

TypeDirect peer
Description

PlanSource provides a benefits administration and employer-focused SaaS platform covering enrollment, eligibility, billing, and ACA compliance. It overlaps directly with Benefitfirst's Core/Plus/Premium tier offerings and serves a similar employer-broker-carrier ecosystem.

TypeEmerging player
Description

BenefitHub offers a voluntary benefits and employee perks marketplace platform, often distributed through employer benefits packages. It overlaps with Benefitfirst's voluntary benefits enrollment support and benefits communication modules.

TypeDirect peer
Description

Ease, acquired by Rippling, is a benefits administration and HR platform focused on small and mid-sized employers with broker integrations. It is a direct competitor in enrollment and eligibility management, particularly for the broker channel.

TypeDirect peer
Description

Tango Health is a benefits administration and compliance platform offering ACA, COBRA, and benefits management for employers. It overlaps directly with Benefitfirst's Plus/Premium tier compliance modules.

Market position
Strengths5 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat5 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights7 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers5 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment3 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile3 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
Yes

Docs URL, Description

Integration2 records

Each record includes

Title, Type, Description, Source

AI capability1 record

Each record includes

Type, Description, Source

AI maturity
App detail

Has app

Feature6 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
No data
Compliance2 records

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

The Benefit Company, Inc. / Benefitfirst

Benefits Administration Softwarebenefitfirst.com

The Benefit Company, Inc. / Benefitfirst firmographics

Firmographics
Name
The Benefit Company, Inc. / Benefitfirst
Legal name
Benefitfirst
Website
https://benefitfirst.com
Company type
Private
Founded year
1991
Operating status
Operating
Headcount range
101–250 employees
Ownership category
akta.pro rank

The Benefit Company, Inc. / Benefitfirst industry classification

Industry
Product category
Benefits Administration Software
NAICS
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
SIC
Services-Prepackaged Software (7372), Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
akta.pro primary industry
Eligibility, Enrollment & Benefits Administration (HLAEALAH)
akta.pro secondary industries
Benefits Administration & Total Rewards Outsourcing (BPACAKAE), Benefits Administration (BPACAPAC), Flexible Benefits Administration (FSA/HSA/HRA) (HLAEALAK)

Keywords

  • Benefits administration
  • Eligibility management
  • Employee enrollment
  • ACA compliance
  • Carrier integration

Where The Benefit Company, Inc. / Benefitfirst is headquartered

Location

Headquarters

HQ city
Columbia
HQ country
United States
HQ region
North America

Offices2 records

Markets served

The Benefit Company, Inc. / Benefitfirst business model

Business model
GTM type
B2B
Offering type
Software
Cost components
Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

  1. Subscription-based SaaS (Tiered Plans): Benefitfirst offers three subscription tiers (Core, Plus, Premium) that provide access to their benefits eligibility management platform. Each tier includes progressively more features and services.
  2. Professional Services: Additional services including Benefits Communication materials, Employee Enrollment Call Center support, Custom Benefits Video production, and implementation/consulting services bundled in Premium tier.

Pricing tiers

ModelBillingPrice
SubscriptionAnnualCore tier includes employee self-service portal, administrator portal, reporting module, carrier EDI/API integration, and AI eligibility audits.
SubscriptionAnnualPlus tier includes all Core features plus payroll/HRIS integration, COBRA administration, and ACA compliance.
SubscriptionAnnualPremium tier includes all Plus features plus benefits communication materials, employee enrollment call center, and custom benefits video.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

The Benefit Company, Inc. / Benefitfirst product offering

Product offering

Core offering

Benefitfirst is a private cloud-based benefits eligibility management platform that automates an employer's complete benefits cycle, including enrollment, eligibility auditing, billing, carrier data exchange, and compliance reporting. The platform uses AI to run weekly payroll and eligibility audits and supports electronic file feeds (proprietary formats, HIPAA 834, and APIs) to hundreds of carriers and third-party administrators. It is sold as tiered subscriptions (Core, Plus, Premium) to large group employers and through benefits brokers and consultants.

Product overview

Benefitfirst is a private, cloud-based benefits eligibility management platform that automates and supports an employer's complete benefits cycle with a focus on accuracy. The company offers a tiered product architecture: Core (entry level with self-service portals, reporting, and carrier EDI/API integration), Plus (adds payroll/HRIS integration, COBRA administration, and ACA compliance), and Premium (adds benefits communication materials, enrollment call center, and custom video). Additional add-on modules include Enrollment Wizard, Payroll Connection, ACA Data Center, Variable-Hour Tracking, COBRA/HIPAA Compliance, Dependent Eligibility Audits, Health Risk Assessment, Wellness Incentive Management, Customer Care Center, and Annual Benefits Statements.

Differentiator

Problem solved

Functional benefit

Products and services

  • Benefitfirst Platform (Core/Plus/Premium subscriptions) Tiered cloud-based SaaS platform providing employee self-service portal, administrator portal, reporting module, carrier EDI/API integration, AI-powered eligibility audits, payroll/HRIS integration, COBRA administration, ACA compliance, benefits communication materials, enrollment call center, and custom benefits video for large group employers.
  • Enrollment Wizard

Quantifiable outcome

  • Reduces administration time by up to 80%
  • +5 more outcomes

Companies that use The Benefit Company, Inc. / Benefitfirst

Customer profile

Named customers5 records

Segments3 records

Ideal customer profiles3 records

The Benefit Company, Inc. / Benefitfirst technology and API

Technology

Technology focussed Yes

API detail

Has API
Yes
API docs
API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability1 record

Feature6 records

The Benefit Company, Inc. / Benefitfirst partnerships and signals

Strategic signal

Partnerships

14 partnerships are on record, tiered core.

  • AflaccoreTechnology or IntegrationAflaC is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • AmeritascoreTechnology or IntegrationAmeritas is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • BCBSSCcoreTechnology or IntegrationBlueCross BlueShield of South Carolina is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • Delta DentalcoreTechnology or IntegrationDelta Dental is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for dental benefits enrollment and eligibility data exchange.
  • HartfordcoreTechnology or IntegrationHartford is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • MetLifecoreTechnology or IntegrationMetLife is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • Mutual of OmahacoreTechnology or IntegrationMutual of Omaha is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • PrincipalcoreTechnology or IntegrationPrincipal Financial Group is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • GuardiancoreTechnology or IntegrationGuardian Life is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • The StandardcoreTechnology or IntegrationStandard Insurance Company is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • TransAmericacoreTechnology or IntegrationTransAmerica is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • UnumcoreTechnology or IntegrationUnum is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • WellFleetcoreTechnology or IntegrationWellFleet is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.
  • SunLifecoreTechnology or IntegrationSunLife Financial is one of 17 carrier partners shown on the Benefitfirst Partners page, indicating integration for benefits enrollment and eligibility data exchange.

Scale indicators7 records

Recent moves1 record

Expansion highlights6 records

The Benefit Company, Inc. / Benefitfirst competitors and assessment

Company assessment

Broad incumbents

  • ADP Workforce Now: ADP Workforce Now is a broad HCM and benefits administration suite used by mid-market and large employers. It competes with Benefitfirst at the high end on integrated payroll + benefits, but is a much larger incumbent with broader scope.
  • Workday Benefits: Workday provides benefits administration as part of its broader HCM and Workday Student suite for enterprise customers. It is a broad incumbent competing for very large employers with deeper HRIS integration.

Direct peers

  • Employee Navigator: Employee Navigator is a benefits administration platform for brokers and employers featuring enrollment, HR, and carrier integrations. It is a direct competitor in the broker-driven benefits administration market segment.
  • bswift: bswift (now part of CVS Health/Aetna) is a benefits administration platform with enrollment, eligibility management, and carrier integration capabilities. It is a direct competitor in employer benefits technology and competes for similar large-group employer clients.
  • WEX Health: WEX Health provides benefits administration technology including COBRA, FSA/HSA, and consumer-driven healthcare account platforms. It competes with Benefitfirst in COBRA administration and benefits account management.
  • Benefitfocus: Benefitfocus is a direct competitor offering a benefits administration and engagement platform serving employers and carriers. Both companies sell enrollment, eligibility, and benefits management software to large-group employers via broker channels with carrier EDI integrations.
  • PlanSource: PlanSource provides a benefits administration and employer-focused SaaS platform covering enrollment, eligibility, billing, and ACA compliance. It overlaps directly with Benefitfirst's Core/Plus/Premium tier offerings and serves a similar employer-broker-carrier ecosystem.
  • Ease (Rippling): Ease, acquired by Rippling, is a benefits administration and HR platform focused on small and mid-sized employers with broker integrations. It is a direct competitor in enrollment and eligibility management, particularly for the broker channel.
  • Tango Health: Tango Health is a benefits administration and compliance platform offering ACA, COBRA, and benefits management for employers. It overlaps directly with Benefitfirst's Plus/Premium tier compliance modules.

Emerging players

  • BenefitHub: BenefitHub offers a voluntary benefits and employee perks marketplace platform, often distributed through employer benefits packages. It overlaps with Benefitfirst's voluntary benefits enrollment support and benefits communication modules.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

The Benefit Company, Inc. / Benefitfirst social profiles

Digital presence

The Benefit Company, Inc. / Benefitfirst compliance and trust

Trust signal

Compliance2 records

The Benefit Company, Inc. / Benefitfirst financial estimates

Financial estimate

Revenue estimate

Valuation estimate

The Benefit Company, Inc. / Benefitfirst leadership team

Management profile

Number of profiles

The Benefit Company, Inc. / Benefitfirst funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

The Benefit Company, Inc. / Benefitfirst M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Benefit Company, Inc. / Benefitfirst

What does The Benefit Company, Inc. / Benefitfirst do?

Benefitfirst is a private cloud-based benefits eligibility management platform that automates an employer's complete benefits cycle, including enrollment, eligibility auditing, billing, carrier data exchange, and compliance reporting. The platform uses AI to run weekly payroll and eligibility audits and supports electronic file feeds (proprietary formats, HIPAA 834, and APIs) to hundreds of carriers and third-party administrators. It is sold as tiered subscriptions (Core, Plus, Premium) to large group employers and through benefits brokers and consultants.

Is The Benefit Company, Inc. / Benefitfirst a public or private company?

The Benefit Company, Inc. / Benefitfirst is a private company. It is classified as founder individual operated bootstrapped and is currently operating.

When was The Benefit Company, Inc. / Benefitfirst founded?

The Benefit Company, Inc. / Benefitfirst was founded in 1991. It employs 101 to 250 people.

Where is The Benefit Company, Inc. / Benefitfirst based?

The Benefit Company, Inc. / Benefitfirst is headquartered in Columbia, United States, in the North America region.

How does The Benefit Company, Inc. / Benefitfirst make money?

Two revenue lines are on record. Subscription-based SaaS (Tiered Plans) is the primary driver. The others are professional Services.

Who are The Benefit Company, Inc. / Benefitfirst's main competitors?

Broad incumbents on record are ADP Workforce Now and Workday Benefits. Direct peers are Employee Navigator, bswift, WEX Health, Benefitfocus, PlanSource, Ease (Rippling) and Tango Health. BenefitHub is listed as an emerging player.

Does The Benefit Company, Inc. / Benefitfirst have an API?

Yes. Benefitfirst supports API integrations for carrier and TPA connectivity. The platform transmits electronic file feeds to carriers/TPAs weekly and supports proprietary file formats, HIPAA 834 format, and API-based connections for eligibility and enrollment data exchange. Payroll/HRIS systems integration is available through closed-loop processes with automatic deduction updates. No public developer documentation or SDK mentioned; integrations appear to be enterprise/partner-facing rather than self-service.

What industry is The Benefit Company, Inc. / Benefitfirst in?

The Benefit Company, Inc. / Benefitfirst's product category is Benefits Administration Software. Its primary akta.pro industry code is HLAEALAH, Eligibility, Enrollment & Benefits Administration, with a secondary code of BPACAKAE, Benefits Administration & Total Rewards Outsourcing. Its NAICS code is 524292 and its SIC code is 7372.

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